Summit Dental Lab
NPI #1518406339 in Port Orchard, Washington
Provider Information
- NPI Number
- 1518406339
- Entity Type
- Organization
- Organization Name
- Summit Dental Lab
- Primary Specialty
- Dental Laboratory
- Enumeration Date
- Feb 13, 2017
- Last Updated
- Feb 13, 2017
Practice Location
- Address
- 1590 WOODRIDGE DR SE
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98366-3818
- Phone
- (360) 871-2444
Authorized Official
- Name
- ALLEN BURLESON, CDT
- Title
- OWNER-DENTAL LAB
- Phone
- (360) 871-2444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Laboratory |
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